Date of Award

2000

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

Department

Psychology

Abstract

The purpose of this study was to answer the questions: (a) What is the relationship between metabolic control and health-related quality of life? (b) What is the relationship among health locus of control, health value, perceived health competence, and metabolic control in Type 2 diabetes? and (c) What is the relationship among health locus of control, health value, perceived health competence, and health-related quality of life in Type 2 diabetes? Ninety-one adults ages 30–79 with Type 2 diabetes mellitus were recruited from physicians' offices in Southern Indiana. Participants completed instruments that provided (a) disease-specific health locus of control, (b) health value, (c) disease-specific self-efficacy, and (d) disease-specific health-related quality of life. A measure of metabolic control was also obtained. A multiple regression analysis was performed to determine the relationship of demographic variables to metabolic control and health-related quality of life. None of the demographic variables predicted metabolic control ( F (6, 79) = .75, p < .05). Age was a significant predictor of health-related quality of life ( t (79) = −1.99, p < .05) and was controlled in further analyses. Based on a canonical correlation analysis, no significant relationship was found between metabolic control and health-related quality of life ( r = −.08, p < .05). The hypotheses and data analysis procedures were changed to reflect the independent outcomes. Hierarchical multiple regression analyses revealed that perceived health competence was a significant predictor of metabolic control ( F (1, 89) = 4.20, p < .05) and health-related quality of life ( F (1, 89) = 27.36, p < .05). The main conclusions are: (a) metabolic control and health-related quality of life are independent outcomes of Type 2 diabetes; and (b) perceived health competence predicts metabolic control and health-related quality of life. Other conclusions and implications are discussed.

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